TY - JOUR
T1 - Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient
AU - Garrett, Kitty M.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.
AB - Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.
KW - ABCDEF Bundle
KW - Agitation
KW - Delirium
KW - Mechanical ventilation
KW - PAD Bundle
KW - Pain
KW - SCCM clinical practice guidelines
KW - Sedation
UR - http://www.scopus.com/inward/record.url?scp=84994834947&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994834947&partnerID=8YFLogxK
U2 - 10.1016/j.cnc.2016.07.004
DO - 10.1016/j.cnc.2016.07.004
M3 - Review article
C2 - 28236391
AN - SCOPUS:84994834947
SN - 0899-5885
VL - 28
SP - 437
EP - 450
JO - Critical care nursing clinics of North America
JF - Critical care nursing clinics of North America
IS - 4
ER -